V-Y Advancement Flap for Facial Defects

Zook, Elvin G.; Beek, Allen L. Van; Russell, Robert C.; Moore, John B.

doi:10.1097/00006534-198006000-00011

Cited by 95 publications

(49 citation statements)

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“…V-Y advancement flaps move into the defect with minimal tension; thus, it does not cause a dog-ear deformity. Its postoperative results are considerable good as the defect is covered with skin that is closest to the defect (35).…”

Section: Discussionmentioning

confidence: 99%

Defect Reconstruction of the Nose After Surgery for Nonmelanoma Skin Cancer: Our Clinical Experience

Kaya

Uslu

Apaydın

2017

Turk Arch Otorhinolaryngol

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Objective: This study aimed to investigate reconstruction methods according to nasal subunits in patients who were surgically treated with diagnosis of non-melanoma skin cancer of the nose.Methods: All patients were retrospectively investigated. This study was conducted between April 2004 and December 2010; 180 patients who were surgically treated with diagnoses of skin basal cell carcinoma, squamous cell carcinoma, cancer of skin appendages, and precancerous lesions and 194 lesions were included. The types of repair performed were divided into seven main groups: Secondary healing, primary closure, skin graft, local flap, auricular composite graft, subtotal reconstruction and prosthesis application. Results:Among the 180 patients, 110 (61.1%) were males and 70 (38.9%) were females. The mean duration of follow-up was 39.8 (range, 32-81) months. Repair was by a local flap, a primary suture, a skin graft, and an auricular composite graft in 133, 16, 38, and 2 defects, respectively. Four defects were left for secondary healing. A prosthesis was applied to one patient. Totally, 194 defects were treated by surgery. Conclusion:Although nonsurgical treatment options such as radiotherapy or cryotherapy may be effectively used, surgery is the main treatment option for cancer of the nasal skin. Nasal subunits have distinct characteristics; thus, optimal reconstruction should be preferred for each subunit. The objective of the reconstruction is not only closing the defect. Closing the defect appropriately with the optimal flap and in proper with the aesthetic subunits is the most important point in reconstruction of the nose.

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Section: Discussionmentioning

confidence: 99%

Defect Reconstruction of the Nose After Surgery for Nonmelanoma Skin Cancer: Our Clinical Experience

Kaya

Uslu

Apaydın

2017

Turk Arch Otorhinolaryngol

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“…[24][25][26][27][28] Although design and harvesting of a V-Y advancement flap is simple, its limited mobility has been a challenging problem, especially for the treatment of relatively large defects located in regions where subcutaneous tissue is not sufficient. To solve the mobility problem of the flap, perforator-based V-Y advancement flaps were used by some authors, especially for leg and forearm defects.…”

Section: Discussionmentioning

confidence: 99%

The Pacman Perforator-Based V-Y Advancement Flap for Reconstruction of Pressure Sores at Different Locations

Bonomi

Salval

Brenta

et al. 2016

Annals of Plastic Surgery

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The V-Y Pacman perforator-based advancement flaps are safe and very effective for reconstruction of pressure sores at various regions. The advantage of our modification procedure include shorter operative time, lesser pedicle dissection, low donor site morbidity, good preservation of muscle, and offers remarkable excursion to the V-Y flap, which make the V-Y Pacman perforator-based flaps an excellent choice for large pressure sore coverage.

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“…The use of a double or triple V-Y advancement flap for nasal reconstruction can result in an excellent color and contour match, but this may be contraindicated because of the risk of distortion of nasal structures [18,21]. To avoid displacing anatomical landmarks of the nose, the [15] and the double-Z rhomboid repair [1] were reported.…”

Section: Discussionmentioning

confidence: 99%

Amplified V-Y flaps for nasal defects

Park¹

1998

E J Plastic Surg

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Due to a paucity of subcutaneous tissue in the nose, mobilization of some flaps is impeded and large nasal defects are thus difficult to close with traditional V-Y flaps. The V-Y flap is modified by the addition of an amplified limb onto the advancing edge of the V-Y flap. This limb is located adjacent to the area requiring reconstruction and is hinged down on the end of the V-Y flap to close the distal portion of the defect. The amplified V-Y flap, a modified V-Y advancement flap, is very useful for the closure of relatively large defects on the nasal area. We have used this flap for nasal defects as large as 2.5 cm in diameter following excision of skin tumors on the nose in 11 patients. Most excised tumors were basal cell carcinomas. The results have been quite good, with only minor complications in two patients. Complications were encountered only in the nasal tip region, there was partial necrosis at the tip of the amplified portion of the flap. The modifications of the V-Y flap described has extended the application in closing nasal defects.

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V-Y Advancement Flap for Facial Defects

Cited by 95 publications

References 0 publications

Defect Reconstruction of the Nose After Surgery for Nonmelanoma Skin Cancer: Our Clinical Experience

Defect Reconstruction of the Nose After Surgery for Nonmelanoma Skin Cancer: Our Clinical Experience

The Pacman Perforator-Based V-Y Advancement Flap for Reconstruction of Pressure Sores at Different Locations

Amplified V-Y flaps for nasal defects

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